Routine inspection·September 21, 2024

On 09/21/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Activities Director Maria Cox and Business Office Director Maria Schwartz. LPA Dabuet explained the purpose of today’s visit. The facility is licensed to operate for (50) non-ambulatory elderly adults. The facility is approved for (15) hospice residents. The facility is a two-story structure located in a commercial neighborhood. It consists of the following: (50) resident bedrooms, (50) resident bathrooms and (4) public restrooms, a dining room, a laundry room, business offices, an industrial kitchen, outdoor patio, a salon, a med room, and an employee lounge. LPA Dabuet and Schwartz toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were stocked during the visit. The resident rooms were inspected: #110, #102, #115, #113, #202, and #221. Bathrooms were operational with water temperature measured at 105.2 – 107.9 degrees F. A comfortable temperature was maintained in the facility at 73 - 79 degrees F. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Evaluation Report continues LIC 809-C Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable in each resident's room. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted including Activities Calendar and Food Menu. LPA conducted an audit of resident #1-#5 (R1-R5) service files, and staff #1-#5 (S1-S5) personnel files were in order. The facility is current in CCLD annual fees. The administrator certificate for Cole Catalina 7022822740 is in pending renewal status. The facility has a Liability Insurance Certificate valid 11/24/23 through 11/24/24. The facility is current on CCLD annual license fees. DEFICIENCIES : Audit of staff roster and schedule revealed Staff #6 did not have Criminal Clearance Transfer Associated to this facility. Records indicated no LIC 9162 or appears on CDSS Guardian System. Staff #3, #4, and #5 all did not have current First Aid/CPR certificate on file. Staff #3 did not have a LIC 503 Health Screening on file Staff #3 did not have TB test results. Resident #2 and #4 diagnosed with Dementia did not have current medical assessment and reappraisal on file. Advisory - Technical Violation (see LIC 9102) According to the California Code of Regulations (Title 22, Division 6, Chapter 8), the following deficiencies has been observed and citation issued (ref. LIC 809-D). An exit interview conducted with the Maria Schwartz, and a copy of the report is provided. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) are cleared. *